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MX5 WC Membership Form

Member ( @ R200-00 p.a.)

Spouse / Partner ( @ additional R100-00 p.a)

Car Details

All details supplied in this Application are CONFIDENTIAL.

By submitting this form, I/we declare that I/we have read the Constitution of this Club, that I/we understand it and that I/we hold myself/ourselves bound by it.

Membership Application Form Bank Account: Mazda MX5 Club Absa Bank / Branch code: 632005 Account #: 9294033559 Email: treas@mx5wc.co.za